Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $158.49 / $309.03	Facility		$147.91	$158.49	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $281.84	Professional		$75.86	$114.82	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $131.83	Professional		$102.33	$114.82	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $275.42	Professional		$77.62	$102.33	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $213.80	Professional		$141.25	$169.82	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $109.65	Facility		$60.26	$60.26	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $128.82	Professional		$60.26	$74.13	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89